TRACEY KING PSYD
NPI 1912520065
Psychologist in Lebanon, OH

Active since May 24, 2020PECOS EnrolledAccepts Medicare Assignment
726 E MAIN ST STE F210, LEBANON, OH 45036(513) 800-1270 Get Directions Write a Review

NPPES record last updated: November 11, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 11, 2023, Aug 24, 2020, May 24, 2020 (3 updates tracked since 2020).

About Tracey King Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRACEY KING PSYD (NPI 1912520065) is an individual psychologist in Lebanon, Ohio, licensed in Ohio (P.07970) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1912520065
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameTRACEY KINGCredential: PSYD
Location Address726 E MAIN ST STE F210Lebanon, OH 45036-1900
Mailing Address726 E Main St Ste F210Lebanon, OH 45036-1900 · (513) 800-1270
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateMay 24, 2020
Last NPPES UpdateNovember 11, 20233 updates tracked since enumeration
NPPES CertifiedNovember 11, 2023
NPI 1912520065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in OH · P.07970
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

726 E MAIN ST STE F210, Lebanon, OH 45036

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Tracey King Psyd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800213158
PECOS Enrollment IDI20200901001141
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912520065, enumerated as an "individual" on May 24, 2020.

The provider is located at 726 E MAIN ST STE F210 LEBANON, OH 45036 and the phone number is (513) 800-1270.

Psychologist with taxonomy code 103T00000X.

The provider might be accepting Accepts: CareSource, Oscar Health Insurance and Oscar. Please consult your insurance carrier or call the provider to verify.